Category Archives: hope

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Chronic pain #I forget

The CDC has a new set of recommendations for chronic pain.

I will write about them. I have to read them first. Hurts too much, right now, the election, and all the pandemic fighting. Stress people and you see what they are really like.

My church has melted down into a huge fight. I was in a chorus singing instead of being in a meeting. Apparently there is a group that says brown people have “taken over” the national organization of the church. Um. Hello. That is discrimination. Does the color of the skin matter if it is a good leader? Why are people insane? I filled out a county survey on drug use today. I know we have methamphetamines and heroin in our high schools because patients have told me. But then I get to the race question. What race am I? I checked OTHER and wrote HUMAN. The race bullcrap is NOT SCIENCE. I haven’t done any genetics testing. I DO NOT KNOW WHAT RACE I AM THOUGH I LOOK WHITE.

It is important for medicine in that there is proven discrimination with less screen health services offered to “brown” people, whatever the heck “brown” people means. I wish the heavens would turn us all the same color over night. Or perhaps blind us. That is not nice of me and I do not care.

I am glad that this horror came out in my church. Because now the discrimination is out in the open. And the committee has sent out a message saying NO. We WILL stay part of the national organization. We WILL not give in to this discrimination. AND I SAY HOORAY AND BLESSINGS ON THEM.

Here is the new CDC set of recommendations for chronic pain: https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm . You can read them yourself.

I read to this sentence so far: “Approximately one in five U.S. adults had chronic pain in 2019 and approximately one in 14 adults experienced “high-impact” chronic pain, defined as having pain on most days or every day during the past 3 months that limited life or work activities (5).”

Part of me is horrified and part of me is calm. Because pain is a part of life. Pain, love, joy, fear, it’s all part of our emotional evolved systems to survive, right? If God is love, God is also pain and fear. It is not a split. It is both.

This song is a love song. But to me, it’s a love song from heroin to a woman. One lovely day, a place where there is no pain. There will be pain on the return, the withdrawal. I have patients say, “You need to get me pain free.” My reply was “I will not get you pain free. Pain free is dead. Or at least, they can no longer tell me if the next form hurts.” In this song, “she won’t let on, that the feelings have got so strong.” Addiction, opioid overuse.

I took the photograph of Elwha yesterday. He is my relaxation mentor.

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many colored

The tree colors this year have been amazing! I think it is because the rain started late. I hope all the trees survive. I watered mine and thanked them and said I hoped they would stay. I say “mine” but I just live here. The trees were here before me and I hope after as well.

For Cee’s Flower of the Day.

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Embodying a dream

I wrote about the two dreams I had one night, with seven people. Two babies, a boy and a girl. Two professionals, a woman physician and a male policeman. Two rebels, a woman and a man, the man lying or at least misleading the rebel woman. The rebel woman trying to do something that she suddenly realizes is not important and is, in fact, foolish and dangerous. And a quiet woman.

I have been thinking about the quiet woman ever since. My Meyers-Briggs type in medical school came out INTJ, but we are not one thing or another. We have preferences, but we all have to use all the skills. I can be extroverted. I had to work on feeling, that was the really difficult one for me after a frightening childhood. I can pay attention to facts though I sweep them into the intuition very quickly. Medical school is facts and facts and facts, except then there are parts that turn out to change as science changes.

The eighth person is a quiet man. He is not present in the dream. I am thinking about him. I wonder if I will have another dream when I am ready.

I am attending some workshops on line for treating trauma. It is quite fascinating. They talk about working with clients who have aspects like my dream: a small child with trauma. A “fake adult”, aka “adaptive child”, with the tools that the child develops to survive in their childhood. Helping the “fake adult” recognize that some of coping tools may not be helpful or necessary any longer. First, they thank the “fake adult”, for protecting the traumatized child and for surviving at all and for not giving up. I think this is so important, to acknowledge that we have to thank that part of ourselves that did what it had to, that did what it could, to survive. And this can include things that we are ashamed of or fear that others would hate us for if found out. We had a temporary doctor at the hospital who described being a boat person escaping Vietnam at age 8. They were picked up by pirates. “We were glad to see the pirates, because we had run out of water. If the pirates had not picked us up, we would have died.” So there is perspective: death by dehydration or pirates? And she went from a refugee camp and then through medical school and became a physician. Survival and success and I hope that she is thriving.

I like it when a dream has such recognizable symbols. My now retired Unitarian Universalist minister says that we can sit with dreams for a time. What do the symbols mean to me? What is the dream telling me? My dream is in part telling me that I do not need to have the rebel woman lead: she can rest and let the quiet woman take over. And that I am very tired of rebel men who mislead me or run away. I woke up and thought, oh, yes, I see! I am tired of that and ready for change.

Change and transformation can happen throughout our lives, at any age. I welcome it.

Blessings and peace you.

___________________

The photograph is Sol Duc and Elwha enjoying doll bunkbeds. And acting like siblings do sometimes. And then they curl up together.

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Arty scores some ludes

Trigger warning: non graphic mentions of date rape, child abuse. A dark story for the Halloween season.

_______________________________

Mr. Smith is telling me about his daughter’s addiction to meth when the commotion starts.

He doesn’t seem to notice. I ignore sirens because the fire house is 6 blocks up the street, but I hear hooves. And people in the waiting room. Loud.

And Mr. Smith…. appears to be frozen mid-sentence. Uh-oh.

I am not frozen. I open the exam room door.

Artemis is there. Breastplate, feather headdress, inlaid turkish recurve bow, and she is not wearing a lady like toga. She is wearing armour. She is grinning at me.

There are lots of people milling around the exam room. Horses outside. I suspect 200. Or more.

“Quaaludes.” says Artemis.

“Ok.” I say. “Um.” I am thinking about the DEA. I get my paper prescription pad. Controlled substance, of course.

“We’re going to do a little pillaging.” says Artemis. “Kind of like date rape. Only in reverse.”

“Happy to help.” I say. “Uh, Bill?”

Artemis grins. “Well, he’s not the only one. You’d… well, you probably wouldn’t be surprised, would you.”

“No,” I say grimly. There are men in the waiting room too. That’s a bit of a surprise. I know two of them. Attended their funerals. Aids.

“I need enough for all 200 to…. well, discourage date rape and Cosbying.”

“So 600? Or 1000?” The DEA will throw me in jail. I write the prescription. Artemis touches it and it blooms in her hand, to 200 prescriptions.

“Don’t worry. The pharmacy is in Hades. The earthly DEA won’t have a problem.”

My receptionist is frozen too. I nod towards Artemis’s band. “I thought it was virgins?”

“We were all virgins once,” says Artemis, fierce. I can’t argue with that. She smiles again. “Thank you. We are going to have some fun. Sweet sweet revenge.”

I don’t really want details. My imagination is way too active. “Blessings.” I say.

“You too.” She turns, holding up the prescriptions. “Mount up!” Two women are riding velociraptors. Some of the horses have wings and other have horns. Three glow red and breathe fire. Some people are riding stags. They all have bows.

“You do need a bow.” says Artemis, looking back at me. “You’re a good shot.”

“Ok,” I say. I watch them leave in the air. The air starts looking a little thick and I go back in the room with Mr. Smith. I return to my position as best I can remember and then…

Mr. Smith is talking again.

__________________________

First posted elsewhere 2015.

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happy

Ok, this is a weird little poem to my sister Chris, who died a decade ago. My father died thirteen months later. My mother was already dead. Mother and sister of cancer and father of emphysema, damn the Camels. There was no family slaughter, unless it was by cancer. There was a family meltdown on my mother’s side. Sometimes you have to let people go.

Sister sister mister miss her
look, Chris, I’m happy

Cancer cancer crabby dancer
look, Chris, I’m singing

Daughter daughter family slaughter
look, Chris, I’m healing

Healer healer wheeler dealer
look, Chris, no drama

Wombing wombing quiet blooming
look, Chris, I’m growing

The photograph is of a family cabin in Ontario. It is called “The New Cabin”, “Helen’s Cabin” (after my mother) or “Chris’s Cabin” after my sister. As you can see, it is suffering through neglect worsened by Covid-19. I put those screens up a decade ago, but they are not surviving the winters and the porch roof has a hole. It was a lovely porch to sleep on. I was last there in 2018, and up on that roof trying to tar holes as a temporary fix. We did not dare go on the porch roof, too late for that. Things change and fall away and sometimes we have to let them go. Especially if they are beyond repair. The photograph is taken earlier this year by the people who care for the cabins when we are not there.

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Finish?

“Get rid of him. Send a letter. Never speak to him again.” Male friend one.

“You need to read He’s Just Not That Into You.” Male friend two.

“There are other fish in the sea.” Brother.

“Men are too high maintenance.” Female mentor twenty years older than me.

But but but.

A poem circles in her head. “There was a little girl, who had a little curl, right in the middle of her forehead. When she was good, she was very very good. When she was bad she was horrid.”

We are like the poem. We bring out each other’s small child, two to four years old, who was hidden and traumatized. We laugh like hyenas. We play with words. We compare childhoods, each sometimes terrible, each full of scars. And when we disagree, we are also like four year olds. We want to stomp our feet and sulk. He wins the sulking award though. I worked through an awful lot of it with my sister and much effort, over 40 years. My sister was as smart as me or smarter intellectually. It’s the emotional part that is so hard to heal. Will you or won’t you, will you or won’t you, will you or won’t you, won’t you join the dance?

I don’t think he will.

But, but, but.

The small bird of hope sings happily and says he will, he will, he will…

For the Ragtag Daily Prompt: finish.

The photograph is me and my daughter years ago. Her expression is very thoughtful because I think this is the first time she is seated in an adult chair. She is thinking about it. I am not sure who took the photograph.

Epilogue.

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split

The pandemic splits the thin veneer of civilized behavior
like a heavy maul falling on delicate antique wood
and wild fear emerges and riots through the streets
while some hide, some stay calm
and try to sooth the selfish unleashed beast

For the Ragtag Daily Prompt: veneer.

Taken in 2015.